When billing for CPT code 97155, the importance of accurate and defensible documentation cannot be overstated. While many providers are familiar with using 97155 during sessions involving technician direction, a growing number of payers (and auditing entities) are scrutinizing how it is used when no technician is present.
In this article, we explore the compliance-critical features of documenting 97155 sessions delivered one-on-one by a Qualified Healthcare Provider (QHP) and offer guidance on meeting payer expectations while upholding clinical integrity.
